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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTIll Page 1 <br /> 304 E WEBER AVE -3RD FLOOR _ <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Amount ID AR0017042 <br /> Facility ID FA0010042 <br /> Date Printed 3/26/2004 <br /> FENG C LO RE : ALL TUNE AND LUBE <br /> ALL TUNE AND LUBE 923 S CHEROKEE LN <br /> 2129 PISA CIR LODI, CA 95240 <br /> STOCKTON, CA 95240 <br /> OWNER : LO, FENG C <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0115876--Date of Invoice: 214/2004 <br /> 2/4/2004 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE PLUS 1 YEAR BACK BILLING $ 230.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> 3/21/2004 9987 Haz Mat Program Penalty Fee $ 23.00 <br /> Total for this invoice $ 477.00 <br /> Payment Due Date 31612004. <br /> TOTAL DUE this Billing Period $ 477.00 <br /> PAST DUES REGE1V�o <br /> WE WOULD <br /> OPAYMENT TODAY'CIATE YOUR ApR 1 g 2p04 <br /> JO ROt�EN <br /> H�H DEpARt <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For DES/HMMP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5255.rpt <br />